{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T12:35:05Z","timestamp":1747226105287,"version":"3.40.5"},"reference-count":17,"publisher":"Galenos Yayinevi","issue":"3","license":[{"start":{"date-parts":[[2022,9,1]],"date-time":"2022-09-01T00:00:00Z","timestamp":1661990400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Turk J Surg"],"accepted":{"date-parts":[[2022,6,8]]},"published-print":{"date-parts":[[2022,9,1]]},"abstract":"<jats:p>Choledochal cysts (CC) are congenital cystic dilations of the biliary tree usually associated with abnormal pancreaticobiliary ductal junction (APBDJ), but its association with pancreatic divisum has been rarely described. We encountered four cases of CC associated with pancreatic divisum (PD). Three had Type 3 PD and one had Type 1 PD. Two cases presented with pancreatic complications, with one case requiring preoperative minor papilla sphincterotomy for recurrent pancreatitis. The association of CC with PD is infrequent, and the variable presentation alters management strategy. PD may be one of the factors responsible for complications associated with CC.<\/jats:p>","DOI":"10.47717\/turkjsurg.2022.5609","type":"journal-article","created":{"date-parts":[[2022,12,20]],"date-time":"2022-12-20T12:52:11Z","timestamp":1671540731000},"page":"294-297","source":"Crossref","is-referenced-by-count":2,"title":["A case series of choledochal cyst with pancreatic divisum: A rare association"],"prefix":"10.47717","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6057-4650","authenticated-orcid":false,"given":"Amith","family":"Pakkala","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1953-4793","authenticated-orcid":false,"given":"Bheerappa","family":"Nagari","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4799-2081","authenticated-orcid":false,"given":"Phani","family":"Kumar Nekarakanti","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5155-2065","authenticated-orcid":false,"given":"Ashish","family":"Kumar Bansal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2811","published-online":{"date-parts":[[2022,9,19]]},"reference":[{"key":"ref-1","doi-asserted-by":"crossref","unstructured":"Urushihara N, Fukumoto K, Fukuzawa H, Mitsunaga M, Watanabe K, Aoba T, et al. Long-term outcomes after excision of choledochal cysts in a single institution: Operative procedures and late complications. J Pediatr Surg 2012; 47(12): 2169-74. https:\/\/doi.org\/10.1016\/j.jpedsurg.2012.09.001","DOI":"10.1016\/j.jpedsurg.2012.09.001"},{"key":"ref-2","doi-asserted-by":"crossref","unstructured":"Saluja SS, Nayeem M, Sharma BC, Bora G, Mishra PK. Management of choledochal cysts and their complications. Am Surg 2012; 78(3): 284- 90. https:\/\/doi.org\/10.1177\/000313481207800334","DOI":"10.1177\/000313481207800334"},{"key":"ref-3","doi-asserted-by":"crossref","unstructured":"Watanabe Y, Toki A, Todani T. Bile duct cancer developed after cyst excision for choledochal cyst. J Hepatobiliary Pancreat Surg 1999; 6(3): 207-12. https:\/\/doi.org\/10.1007\/s005340050108","DOI":"10.1007\/s005340050108"},{"key":"ref-4","doi-asserted-by":"crossref","unstructured":"Lal R, Agarwal S, Shivhare R, Kumar A, Sikora SS, Kapoor VK, et al. Management of complicated choledochal cysts. Dig Surg 2008; 24(6): 456-62. https:\/\/doi.org\/10.1159\/000111821","DOI":"10.1159\/000111821"},{"key":"ref-5","doi-asserted-by":"crossref","unstructured":"Ferri V, Vicente E, Quijano Y, Ielpo B, Duran H, Diaz E, et al. Diagnosis and treatment of pancreas divisum: A literature review. Hepatobiliary Pancreat Dis Int 2019; 18(4): 332-6. https:\/\/doi.org\/10.1016\/j. hbpd.2019.05.004","DOI":"10.1016\/j.hbpd.2019.05.004"},{"key":"ref-6","doi-asserted-by":"crossref","unstructured":"Ransom-Rodr\u00edguez A, Blachman-Braun R, S\u00e1nchez-Garc\u00eda Ramos E, Varela-Prieto J, Rosas-Lezama E, Mercado M\u00c1. A rare case of choledochal cyst with pancreas divisum: Case presentation and literature review. Ann Hepatobiliary Pancreat Surg 2017; 21(1): 52-6. https:\/\/doi. org\/10.14701\/ahbps.2017.21.1.52","DOI":"10.14701\/ahbps.2017.21.1.52"},{"key":"ref-7","doi-asserted-by":"crossref","unstructured":"Todani T, Watanabe Y, Narusue M, Tabuchi K, Okajima K. Congenital bile duct cysts: Classification, operative procedures, and review of thirty-seven cases including cancer arising from choledochal cyst. Am J Surg 1977; 134(2): 263-9. https:\/\/doi.org\/10.1016\/0002- 9610(77)90359-2","DOI":"10.1016\/0002-9610(77)90359-2"},{"key":"ref-8","doi-asserted-by":"crossref","unstructured":"Kuzel AR, Lodhi MU, Rahim M. Pancreatic divisum: An unusual cause of chronic pancreatitis in a young patient. Cureus 2017 ; 9(11): e1856. https:\/\/doi.org\/10.7759\/cureus.1856","DOI":"10.7759\/cureus.1856"},{"key":"ref-9","doi-asserted-by":"crossref","unstructured":"Arulprakash S, Balamurali R, Pugazhendhi T, Kumar SJ. Pancreas divisum and choledochal cyst. Indian J Med Sci 2009; 63(5): 198-201. https:\/\/doi.org\/10.4103\/0019-5359.53166","DOI":"10.4103\/0019-5359.53166"},{"key":"ref-10","doi-asserted-by":"crossref","unstructured":"Cotton PB. Congenital anomaly of pancreas divisum as cause of obstructive pain and pancreatitis. Gut 1980; 21(2): 105-14. https:\/\/doi. org\/10.1136\/gut.21.2.105","DOI":"10.1136\/gut.21.2.105"},{"key":"ref-11","doi-asserted-by":"crossref","unstructured":"Fujishiro J, Masumoto K, Urita Y, Shinkai T, Gotoh C. Pancreatic complications in pediatric choledochal cysts. J Pediatr Surg 2013; 48(9): 1897-902. https:\/\/doi.org\/10.1016\/j.jpedsurg.2012.12.038","DOI":"10.1016\/j.jpedsurg.2012.12.038"},{"key":"ref-12","doi-asserted-by":"crossref","unstructured":"Kaneko K, Ando H, Seo T, Ono Y, Tainaka T, Sumida W. Proteomic analysis of protein plugs: Causative agent of symptoms in patients with choledochal cyst. Dig Dis Sci 2007; 52(8): 1979-86. https:\/\/doi. org\/10.1007\/s10620-006-9398-4","DOI":"10.1007\/s10620-006-9398-4"},{"key":"ref-13","doi-asserted-by":"crossref","unstructured":"Muthucumaru M, Ljuhar D, Panabokke G, Paul E, Nataraja R, Ferguson P, et al. Acute pancreatitis complicating choledochal cysts in children. J Paediatr Child Health 2017; 53(3): 291-4. https:\/\/doi.org\/10.1111\/ jpc.13380","DOI":"10.1111\/jpc.13380"},{"key":"ref-14","doi-asserted-by":"crossref","unstructured":"Sonoda M, Sato M, Miyauchi Y, Yazumi S, Nakamura M. A rare case of choledochocele associated with pancreas divisum. Pediatr Surg Int 2009; 25(11): 991-4. https:\/\/doi.org\/10.1007\/s00383-009- 2460-5","DOI":"10.1007\/s00383-009-2460-5"},{"key":"ref-15","doi-asserted-by":"crossref","unstructured":"Hackert T, Hartwig W, Werner J. Symptoms and surgical management of a distal choledochal cyst in a patient with pancreas divisum: Case report and review of the literature. Case Rep Gastroenterol 2007; 1(1): 90-5. https:\/\/doi.org\/10.1159\/000108636","DOI":"10.1159\/000108636"},{"key":"ref-16","doi-asserted-by":"crossref","unstructured":"Tuggle DW, Smith EI. Pancreas divisum, pancreatic pseudocyst, and choledochal cyst in an 8-year-old child. J Pediatr Surg 1989; 24(1): 52- 3. https:\/\/doi.org\/10.1016\/S0022-3468(89)80301-X","DOI":"10.1016\/S0022-3468(89)80301-X"},{"key":"ref-17","doi-asserted-by":"crossref","unstructured":"Dalvi AN, Pramesh CS, Prasanna GS, Rege SA, Khare R, Ravikiran CS. Incomplete pancreas divisum with anomalous choledochopancreatic duct junction with choledochal cyst. Arch Surg 1999; 134(10): 1150-2. https:\/\/doi.org\/10.1001\/archsurg.134.10.1150","DOI":"10.1001\/archsurg.134.10.1150"}],"container-title":["Turkish Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/turkjsurg.com\/full-text-pdf\/1867\/eng","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/turkjsurg.com\/full-text-pdf\/1867\/eng","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,4]],"date-time":"2025-03-04T06:06:06Z","timestamp":1741068366000},"score":1,"resource":{"primary":{"URL":"https:\/\/turkjsurg.com\/articles\/doi\/turkjsurg.2022.5609"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9,1]]},"references-count":17,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2022,9,1]]}},"URL":"https:\/\/doi.org\/10.47717\/turkjsurg.2022.5609","relation":{},"ISSN":["2564-6850","2564-7032"],"issn-type":[{"type":"print","value":"2564-6850"},{"type":"electronic","value":"2564-7032"}],"subject":[],"published":{"date-parts":[[2022,9,1]]}}}